
Bangladesh


Table of Contents
(click to scroll )
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Cadre name
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Provider density
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Primary care / specialty care distribution
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Scope of practice
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Age and gender distribution
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Country profile
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Rural practice data
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Training overview
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History
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Leadership bodies, regulation & accreditation
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Health workforce indicators
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Healthcare system structure
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Current challenges
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Resources & links

AMTC Cadre Name:
Medical Assistants
established 1976
>30,000 Medical Assistants in Bangladesh
previously known as Sub-Assistant Community Medical Officers
Provider Density & Statistics

HRH Bangladesh per 10,000 population
Primary Care / Specialty Care Distribution
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More than 85% of Medical Assistants provide health service/primary care in rural areas
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Bangladesh is a global leader in providing free medical services at the community level
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Medical Assistants are the "primary care backbone’" in Bangladesh
Scope of Practice
Primary care at the Union and Family Welfare Centers, as well as Upzila facilities.
They are in the Family Planning sector under the Ministry of Health & Family Welfare.
At this time, MAs are only given the right to provide supportive inpatient and outpatient medical services. Their scope can extend to provision of medical counseling to patients on causes of disease, ways to mitigate disease, and first line treatment of disease. Currently they are only allowed to prescribe 73 different medications
Age Distribution
Medical Assistants on average range from 25-60 years old
Gender Distribution
There is equal gender distribution between male and female Medical Assistants in Bangladesh
Rural Practice Data
>85% of Medical Assistants provide health service/primary care in rural areas
Training
Bangladesh Ministry of Health & Family Welfare, Ministry of Education and other ministries work in collaboration with educational institutes to shape the health workforce to meet the populations’ needs.
As of 2021: 211 training schools: 11 public and 200 private
Admissions criteria: 10 years of schooling (must have Biology as a subject)
Training: 3 years of didactic and clinical rotations
after completion must pass final testing by the State Medical Faculty of Bangladesh
compulsory internship of 12 months
9 months are spent at a General/ Sadar hospital (or equivalent hospital) and 3 months at an Upazila Health Complex
Diploma in Medical Faculty (DMF) awarded at successful completion
History
Bangladesh has a population of over 166 million people with 70% in the rural areas. It is ranked 10th in the world by population density. The population continues to grow with net gain of one person every 20 seconds.
The Medical Assistant profession was started in 1979 to staff the rural health centers, as well as the Union and Family Welfare Centers. These providers were seen as the primary care providers in the communities alongside other health workers. They are seen as the ‘physicians helping hand’. For about a decade, Medical Assistants have been designated as Sub-Assistant Community Medical Officers (SACMO) in the Family Planning sector under the Ministry of Health and Family Welfare. In the Health sector, Medical Assistants were ascribed the designation of SACMO in 2013.
Leadership Bodies / Regulation & Accreditation

The State Medical Faculty of Bangladesh
The Medical Assistant Training (MAT) course began in 1976 after the partition of Bengal in 1947 resulted in the development of both the State Medical Faculty of East Pakistan and State Medical Faculty of Bangladesh. These faculties have been holding examinations and awarding diplomas and certificates to candidates who have completed their course requirements.
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To prescribe syllabi for Medical Assistants
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To lay down standard of teaching of the student by Government institutions conducting approved courses of studies, including practical training and field work.
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To hold 1st, 2nd & 3rd Year examinations twice a year in the courses of studies of the above categories of students
Secretary Dr. Md. Zahidur Rahman
"The conceptual framework of 'a healthy nation being a wealthy nation' has gradually been acknowledged in our country. For this reason we are here to improve health care facilities for the mass people to ensure quality human resources in the health sector. We want to reach the health service at the doorstep of the growing population. There is no substitute for a skilled worker. The main aim of this faculty is helps to maintain standard quality Medical Assistant and medical technological education recognition of medical qualifications in Bangladesh."
Bangladesh Medical & Dental Council
Bangladesh Medical and Dental Council Provide Practitioner Licensing
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Recognition of Medical and Dental qualifications granted by Medical and Dental Institutions in Bangladesh
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Registration of Medical Assistants
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Maintenance of registers of Medical Assistants
Health Workforce Indicators Gathered In Country


